Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011 |
Resumo: | Abstract Introduction: Intravascular catheters are substantial in neonatal intensive care units (NICU). Monitoring infection rates is increasingly regarded as an important contributor to safe and high-quality health care. Our study aimed to determine the current incidence of catheter-related bloodstream infection (CRBSI) in a level III NICU, comparing with other reports and with a previous similar study performed in our NICU in 2011. Methods: From January 2017 to December 2019 a prospective surveillance was undertaken in the NICU of Hospital de Braga. All newborns (NB) with a central catheter (CC) inserted in our NICU were considered. The microbiological diagnosis was performed by peripheral blood culture (BC) and the culture of the CC tip after removal. Results: There were inserted a total of 404 CC, 138 umbilical catheters (UC), and 266 peripherally inserted central catheters (PICC). The average gestational age was 30.4 weeks (SD±3.89 w), mean birth weight of 1380.03 g (SD±742.68 g), with 76.03% of very low birth weight (VLBW). The mean length of CC use was 11.51 days (SD ±11.08 d). There were 95 positive CC tip cultures, 25 (26.32%) UC, and 70 (73.68%) PICC. From 41 BC collected, there were 9 positive (21.95%), 2 from NB with UC, and 7 from NB with PICC. In both cultures, coagulase-negative Staphylococci were the most common organism identified. CRBSI rate is 0.5%. The incidence density of catheter contamination was 20.43 per 1000 catheter-days. Discussion: Comparing with the previous study from 2011, there is a significant improvement in the CRBSI rate, reflecting the efforts done to prevent infections. Our CRBSI rate and the infection microbiology were similar to other NICUs. |
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Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance StudyCatheter-Related InfectionsInfant, NewbornInfant, Newborn, DiseasesIntensive Care Units, NeonatalAbstract Introduction: Intravascular catheters are substantial in neonatal intensive care units (NICU). Monitoring infection rates is increasingly regarded as an important contributor to safe and high-quality health care. Our study aimed to determine the current incidence of catheter-related bloodstream infection (CRBSI) in a level III NICU, comparing with other reports and with a previous similar study performed in our NICU in 2011. Methods: From January 2017 to December 2019 a prospective surveillance was undertaken in the NICU of Hospital de Braga. All newborns (NB) with a central catheter (CC) inserted in our NICU were considered. The microbiological diagnosis was performed by peripheral blood culture (BC) and the culture of the CC tip after removal. Results: There were inserted a total of 404 CC, 138 umbilical catheters (UC), and 266 peripherally inserted central catheters (PICC). The average gestational age was 30.4 weeks (SD±3.89 w), mean birth weight of 1380.03 g (SD±742.68 g), with 76.03% of very low birth weight (VLBW). The mean length of CC use was 11.51 days (SD ±11.08 d). There were 95 positive CC tip cultures, 25 (26.32%) UC, and 70 (73.68%) PICC. From 41 BC collected, there were 9 positive (21.95%), 2 from NB with UC, and 7 from NB with PICC. In both cultures, coagulase-negative Staphylococci were the most common organism identified. CRBSI rate is 0.5%. The incidence density of catheter contamination was 20.43 per 1000 catheter-days. Discussion: Comparing with the previous study from 2011, there is a significant improvement in the CRBSI rate, reflecting the efforts done to prevent infections. Our CRBSI rate and the infection microbiology were similar to other NICUs.Círculo Médico2021-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011Gazeta Médica v.8 n.1 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011Maximiano,CristianaCunha,CarlaSilva,AlbinaPereira,Almerindainfo:eu-repo/semantics/openAccess2024-02-06T17:32:11Zoai:scielo:S2184-06282021000100011Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:35:02.341329Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
title |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
spellingShingle |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study Maximiano,Cristiana Catheter-Related Infections Infant, Newborn Infant, Newborn, Diseases Intensive Care Units, Neonatal |
title_short |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
title_full |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
title_fullStr |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
title_full_unstemmed |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
title_sort |
Catheter-Related Bloodstream Infection in Neonatal Intensive Care Unit: Prospective Surveillance Study |
author |
Maximiano,Cristiana |
author_facet |
Maximiano,Cristiana Cunha,Carla Silva,Albina Pereira,Almerinda |
author_role |
author |
author2 |
Cunha,Carla Silva,Albina Pereira,Almerinda |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Maximiano,Cristiana Cunha,Carla Silva,Albina Pereira,Almerinda |
dc.subject.por.fl_str_mv |
Catheter-Related Infections Infant, Newborn Infant, Newborn, Diseases Intensive Care Units, Neonatal |
topic |
Catheter-Related Infections Infant, Newborn Infant, Newborn, Diseases Intensive Care Units, Neonatal |
description |
Abstract Introduction: Intravascular catheters are substantial in neonatal intensive care units (NICU). Monitoring infection rates is increasingly regarded as an important contributor to safe and high-quality health care. Our study aimed to determine the current incidence of catheter-related bloodstream infection (CRBSI) in a level III NICU, comparing with other reports and with a previous similar study performed in our NICU in 2011. Methods: From January 2017 to December 2019 a prospective surveillance was undertaken in the NICU of Hospital de Braga. All newborns (NB) with a central catheter (CC) inserted in our NICU were considered. The microbiological diagnosis was performed by peripheral blood culture (BC) and the culture of the CC tip after removal. Results: There were inserted a total of 404 CC, 138 umbilical catheters (UC), and 266 peripherally inserted central catheters (PICC). The average gestational age was 30.4 weeks (SD±3.89 w), mean birth weight of 1380.03 g (SD±742.68 g), with 76.03% of very low birth weight (VLBW). The mean length of CC use was 11.51 days (SD ±11.08 d). There were 95 positive CC tip cultures, 25 (26.32%) UC, and 70 (73.68%) PICC. From 41 BC collected, there were 9 positive (21.95%), 2 from NB with UC, and 7 from NB with PICC. In both cultures, coagulase-negative Staphylococci were the most common organism identified. CRBSI rate is 0.5%. The incidence density of catheter contamination was 20.43 per 1000 catheter-days. Discussion: Comparing with the previous study from 2011, there is a significant improvement in the CRBSI rate, reflecting the efforts done to prevent infections. Our CRBSI rate and the infection microbiology were similar to other NICUs. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011 |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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http://scielo.pt/scielo.php?script=sci_arttext&pid=S2184-06282021000100011 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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text/html |
dc.publisher.none.fl_str_mv |
Círculo Médico |
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Círculo Médico |
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Gazeta Médica v.8 n.1 2021 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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